Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $206.98 / $1,794.00 / $6,681.00	Facility		$206.98	$1,794.00	$6,681.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,436.91 / $1,436.91 / $1,436.91	Facility	50	$1,436.91	$1,436.91	$1,436.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.89 / $123.51 / $201.51	Professional		$95.89	$123.51	$201.51
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $257.18 / $480.81 / $783.00	Professional	50	$257.18	$480.81	$783.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $102.68 / $102.68 / $102.68	Professional		$102.68	$102.68	$102.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $764.00 / $1,483.00 / $2,244.00	Facility		$764.00	$1,483.00	$2,244.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $110.98 / $152.46 / $234.46	Professional		$110.98	$152.46	$234.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Facility		$30.00	$30.00	$30.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.28 / $161.41 / $251.54	Professional		$116.28	$161.41	$251.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $534.90 / $534.90	Facility		$55.00	$534.90	$534.90
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $766.56 / $971.76 / $1,209.53	Professional		$766.56	$971.76	$1,209.53
United Facility/Professional Facility Modifier Low / Median / High Price $294.00 / $808.00 / $2,577.00	Facility		$294.00	$808.00	$2,577.00
United Facility/Professional Professional Modifier Low / Median / High Price $110.29 / $152.46 / $263.64	Professional		$110.29	$152.46	$263.64